Table 2:

Conditions that occasionally coexist with spontaneous intracranial hypotension

Coexisting ConditionPathogenesis
Cerebral venous sinus thrombosisCompensatory venous engorgement and stasis secondary to decrease in intracranial CSF volume
Frontotemporal dementiaBrain sag, obstruction of venous outflow, and swelling of the diencephalon may precipitate behavior and personality changes
Pituitary enlargement or apoplexyCompensatory enlargement and congestion of hypophyseal veins may cause pituitary engorgement and predisposition to apoplexy
POTSProlonged supine deconditioning secondary to spinal CSF leak
Superficial siderosisVenous traction at the skull base may cause microhemorrhages, or bleeding may occur at the site of the dural defect